Document 7200348
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Transcript Document 7200348
What is Recovery?
Recovery from alcohol and drug
addiction is a process of change
through which an individual achieves
abstinence and improved health,
wellness and quality of life.
Abstinence defined…
Abstinence may include
use of medication as
prescribed by an
authorized health care
provider.
Dimensions of Wellness
physical health
emotional health
stability and quality of family and peer
relationships
comfort of living environment
positive community participation
life meaning and purpose
Characteristics of Recovery
Multiple Pathways
Multifaceted Change Process
Supported by Peers and Allies
Stages
Stages of Recovery
Pre-recovery
Initial Stabilization
Recovery Maintenance
Quality of Life Enhancement
What is a recovery
oriented system of care?
A network of formal and informal services
developed and mobilized to sustain long-term
recovery for individuals and families impacted
by severe substance use disorders
The system in ROSC is not a treatment agency
but a macro level organization of a community,
a state or a nation
What is a recovery oriented
system of care?
Wide spectrum of services
Supports all stages and pathways of
recovery
Addresses access to services
Includes treatment, alternatives to
treatment, and recovery support services
Coordinates multiple services
Recovery-Oriented
System Goals
Intervene earlier
Improve treatment outcomes
Support sustained recovery
Recovery System
Treatment System
Treatment System
Treatment has become disconnected
from the larger and more enduring
process of addiction recovery
Addiction treatment institutions have
become disconnected from the
grassroots communities and local
communities of recovery out of which
they were born
Recovery Capital
People who require formal addiction
treatment services have less
recovery capital (social, human,
physical)
The goal of treatment should be to
increase these recovery based assets
Problem Severity/
Recovery Capital Matrix
High
Recovery
Capital
High Problem
Severity
Low Problem
Severity
Low
Recovery
Capital
Treatment System
How must treatment programs
change to become more recoveryfriendly?
Treatment must change from an
acute care model to a chronic care
model, shifting the focus from
recovery initiation to support for
long-term recovery maintenance
Goals of Recovery Support
Services
Remove personal and environmental
barriers to recovery
Facilitate participation in the
recovery community
Enhance the quality of life of the
person in recovery
Recovery Support Services
Outreach
Engagement and
intervention services
Recovery guiding or coaching
Post treatment monitoring and
support
Recovery Support Services
Sober or supported housing
Transportation
Childcare
Legal services
Educational/vocational supports
Elements of a Recovery Oriented
System of Care
Person centered
Family and other ally involvement
Individualized and comprehensive
services across the lifespan
Anchored in the community
Continuity of care
ROSC Elements
Partnership-consultant relationships
Strengths-based
Culturally responsive
Responsive to personal belief systems
ROSC Elements
Commitment to peer recovery
support services
Inclusion of voices and
experiences of recovering
individuals and families
Integrated services
ROSC Elements
System-wide education and
training
Ongoing monitoring and outreach
Outcomes driven
Research based
Adequately and
flexibly financed